Surgical treatment tactics in patients with third molars located close to mandibular canal

Kuzin A.V.; Sogacheva V.V.; Gurin A.N.; Syomkin V.A.; Sogachev G.V.; Remizov G.V.

doi:https://doi.org/10.17116/stomat202210106173

Kuzin A.V.

Russian Medical Academy of Continuous Professional Education;
A.V. Nassonova Research Institute of Rheumatology

Sogacheva V.V.

Federal State Institution Central Research Institute of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation

Gurin A.N.

Central Research Institute of Dentistry and Maxillofacial Surgery

Syomkin V.A.

Federal State Institution Central Research Institute of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation

Sogachev G.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

Remizov G.V.

Khimki Central Clinical Hospital

Surgical treatment tactics in patients with third molars located close to mandibular canal

Authors:

Kuzin A.V., Sogacheva V.V., Gurin A.N., Syomkin V.A., Sogachev G.V., Remizov G.V.

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Journal: Stomatology. 2022;101(6): 73‑78

DOI: 10.17116/stomat202210106173

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To cite this article:

Kuzin AV, Sogacheva VV, Gurin AN, Syomkin VA, Sogachev GV, Remizov GV. Surgical treatment tactics in patients with third molars located close to mandibular canal. Stomatology. 2022;101(6):73‑78. (In Russ.)
https://doi.org/10.17116/stomat202210106173

Подписка 2026 Стоматология (Stomatology)

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Abstract:

The tight fit of the roots of the third molars to the mandibular canal is the main predisposing factor of injury to the inferior alveolar nerve during tooth extraction surgery. Surgical treatment of 92 patients diagnosed with pericoronitis, retention of the third molar of the mandible, close fit of the roots of the third molar to the mandibular canal was performed. Four types of close fit of the roots of the third molars to the mandibular canal were revealed, according to CBCT, OPTG and clinical data. Most cases of paresthesia after the removal of the third molars are associated with an anatomical variation in the structure of the mandibular canal, in which the canal walls are partially formed by the cement of the tooth root. Two variants of postoperative management of the surgical wound are proposed, when an open section of the neurovascular bundle is detected at the bottom of the hole.

Keywords:

teeth extraction

inferior alveolar canal

lower alveolar nerve

third molars

paresthesia of the lower lip

extraction of a retinated tooth

teeth retention

CBCT of the third molar

anatomy of lower jaw

Authors:

Kuzin A.V.

Russian Medical Academy of Continuous Professional Education;
A.V. Nassonova Research Institute of Rheumatology

Sogacheva V.V.

Federal State Institution Central Research Institute of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation

Gurin A.N.

Central Research Institute of Dentistry and Maxillofacial Surgery

Syomkin V.A.

Federal State Institution Central Research Institute of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation

Sogachev G.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

Remizov G.V.

Khimki Central Clinical Hospital

Received:

05.12.2021

Accepted:

05.09.2022

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References:

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